Should I get a nipple reduction in addition to a breast augmentation? If so, which approach would you recommend? (Photo)

How much of the droopiness could be corrected from the pressure of the implant? Would the aesthetics just be best if I had a nipple reduction anyway? I am 30 and have breast fed two children for approximately 2 1/2 years total. I am getting silicone implants 350/375 cc moderate plus.

Doctor Answers (13)

To Augment or not.................To Reduce or not

February 11th, 2014

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You are an excellent candidate for a breast augmentation. I would definitely suggest you chose silicone gel implants as oppose to saline. The incidence of rippling/wrinkling in someone with your breasts would, in my opinion, be unacceptable. As you may know, rippling or wrikling is when the folds of the implant become very prominent. The end result is that the patient will often feel these folds or worse yet, the folds become very visible and unsightly. Saline implants more often than not have a much higher incidence of this phenomenom when compared to silicone gels. In either case, the implants should be located behind the pectoral muscle.

As far as the nipple reduction, I would suspect that undergoing the augmentation, the isze of your nipple mat not be as distracting to you. There are various techniques that have been devised for this purpose and I would wait until after your breast augmentation. Whatever technique is eventually employed, I would caution you against loss of sensation and prominent scarring.

I
recommend a new technique called Breast Augmentation with Mini Ultimate Breast
LiftTM. Using only a
circumareola incision it is possible to reshape your breast tissue creating
upper pole fullness, elevate them higher on the chest wall and more medial to
increase your cleavage. Through the same
incision, implants can be placed.
Aligning the areola, breast tissue and implant over the bony prominence
of the chest wall maximizes anterior projection with a minimal size
implant. Small round textured silicone
gel implants placed retro-pectoral look and feel more natural, are more stable,
less likely to ripple or have complications needing revision. Implant profile is irrelevant in the
retro-pectoral position since the muscle compresses it. 22% of women who undergo breast augmentation
alone require revision within 2 years because they are dissatisfied with the
result. Since you have breast fed, your
breasts are drooping and depleted you would benefit from a simultaneous
lift. Your areolas should be
approximately 42 millimeters in diameter, which can be achieved with this
technique.

Should I get a nipple reduction in addition to a breast augmentation? If so, which approach would you recommend?

February 6th, 2014

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I think the aesthetics of the breasts could be markedly improved with breast augmentation alone.

Find a
board certified plastic surgeon who performs hundreds of breast
augmentations each year. Then look at the plastic surgeon's website
before and
after photo galleries to get a sense of who can deliver the results.

Nipple Reduction with Augmentation

February 3rd, 2014

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If you've already decided on augmentation, I would discuss this combinedprocedure with your plastic surgeon. I usually advise patients to get used totheir augmented breast shape before making a decision about nipple reduction.Thank you for your question.

Nipple reduction with breast augmentation

February 1st, 2014

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Hi. Enlarging your breasts will make your nipples more in proportion to your new breast size, and they may not worry you as much. If they really are bthering you could reduce the prominence at the same time - this is a simple procedure that can be performed under local anasthetic in the office at a later stage if you decide not to go ahead. There is no change in sensation and the risk of scarring is small with nipple reduction. Regards Dr Charles Cope

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